AT age 60 a PSA test of 23 relealed Prostate and it was removed.

Posted by rolanddubree @rolanddubree, 1 day ago

AT age 60 a PSA test of 23 revealed Prostate and it was removed. PSA tests in later years were always 1 or less. Does a PSA only reveal Prostate Cancer or can it reveal Cancer that might have moved to another body location thru my blood system? I am 95 now but wonder is I am cancer free.

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Hope someone can answer my question. I do suggest males near 60 get a PSA test and if cancer is found get the problem resolved via the new method that might not reuired the surgery and it's ED possibilities.

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Prostate cancer cells can escape the prostate and travel to other parts of the body. At that point, someone has metastatic prostate cancer. Metastatic prostate cancer will produce PSA, so yes PSA can show prostate cancer that has moved to another location in the body. You can talk to your doctor about what your current PSA score means.

35 years post-op! You are an inspiration and hope your health is doing well and hope you will celebrate your 100th with us here!

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If the cancer moved to another body location, your PSA would’ve risen due to it. I do know people that have had high Gleason scores and went 20 and 30 years after treatment before their cancer came back, But they knew it came back because their PSA started rising. This happens because prostate cancer can go dormant for many years, and then come back.

Sounds like you’re in great shape. In your case, if your PSA started rising. They would probably use radiation in the spots that it showed up. Really not a difficult procedure.

To tell you the truth, I wouldn’t worry about it at all. You’ve gone this long and it looks like you picked the right treatment.

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@rolanddubree , You mentioned that, "PSA tests in later years were always 1 or less." What was your lowest PSA, the nadir? Was it < or = 0.01?

You asked, "Does a PSA only reveal Prostate Cancer or can it reveal Cancer that might have moved to another body location thru my blood system?" My answer: I read somewhere that if PSA has risen 2 points above nadir (e.g., from 0.01 to 2.01), then there is a possibility of recurrence, but needs further tests to confirm. If confirmed, "it can be radiated" as Jeff commented.

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Profile picture for vircet @vircet

@rolanddubree , You mentioned that, "PSA tests in later years were always 1 or less." What was your lowest PSA, the nadir? Was it < or = 0.01?

You asked, "Does a PSA only reveal Prostate Cancer or can it reveal Cancer that might have moved to another body location thru my blood system?" My answer: I read somewhere that if PSA has risen 2 points above nadir (e.g., from 0.01 to 2.01), then there is a possibility of recurrence, but needs further tests to confirm. If confirmed, "it can be radiated" as Jeff commented.

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@vircet
That two points above the minimum applies to radiation treatment. This person had surgery. In that case anything from .2 and above Is considered a reoccurrence and they would do salvage radiation.

The fact that his PSA never hit anything higher than one is a little strange, But it might be is thinking about .1.

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Profile picture for jeff Marchi @jeffmarc

@vircet
That two points above the minimum applies to radiation treatment. This person had surgery. In that case anything from .2 and above Is considered a reoccurrence and they would do salvage radiation.

The fact that his PSA never hit anything higher than one is a little strange, But it might be is thinking about .1.

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@jeffmarc I think its been on here before but I for the last 6 years have gotten my PSA test done at sonora quest. always been < .01. I just had it done at mayo clinic. < .1 That would be saying the same thing?

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Profile picture for tuckerp @tuckerp

@jeffmarc I think its been on here before but I for the last 6 years have gotten my PSA test done at sonora quest. always been < .01. I just had it done at mayo clinic. < .1 That would be saying the same thing?

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@tuckerp
Qwest does an ultrasensitive test with two decimal points.

Mayo does a test with only one decimal point.

In both cases, they are considered undetectable as long as it’s < .1

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Profile picture for rolanddubree @rolanddubree

Hope someone can answer my question. I do suggest males near 60 get a PSA test and if cancer is found get the problem resolved via the new method that might not reuired the surgery and it's ED possibilities.

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@rolanddubree I assume that by « Cancer that might have moved to another body location » you still refer to prostate cancer. A PSA test would tell you if PCa is significant and progressing at some other location. It cannot detect other types of cancer.

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